Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.43 / $1,485.97 / $6,461.00	Facility		$688.43	$1,485.97	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,198.71 / $11,198.71 / $11,198.71	Facility		$11,198.71	$11,198.71	$11,198.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,387.07 / $2,789.48 / $4,279.13	Facility		$2,387.07	$2,789.48	$4,279.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $688.43 / $990.65 / $1,854.11	Facility		$688.43	$990.65	$1,854.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.38 / $1,107.73 / $7,160.00	Facility		$693.38	$1,107.73	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $688.43 / $967.26 / $1,854.11	Facility		$688.43	$967.26	$1,854.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,567.44 / $2,156.58 / $3,073.56	Professional		$1,567.44	$2,156.58	$3,073.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,348.40 / $3,348.40 / $10,346.45	Facility		$3,348.40	$3,348.40	$10,346.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00